Daurice Costello
Behavior Technician in El Cajon, CA. Individual provider (NPI-1).
NPI number1316631856
StatusActive
Last updated in NPPESJun 7, 2023
Details
- NPI
- 1316631856
- Entity type
- Individual (NPI-1)
- Name
- Daurice Costello
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2023
- Certification date
- Jun 7, 2023
- Last updated
- Jun 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
321 Van Houten AveEl Cajon, CA 92020-5128
Phone 855-223-7123
Mailing address
Po Box 33568San Diego, CA 92163-3568
Phone 855-223-7123 · Fax 619-374-7134
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All 565 Behavior Technician providers in El Cajon · All 4,057 providers in El Cajon
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